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Anthem, Inc. Membership Rep III in Las Vegas, Nevada

Description

SHIFT: Day Job

SCHEDULE: Full-time

Your Talent. Our Vision. At Anthem, Inc., it’s a powerful combination, and the foundation upon which we’re creating greater access to care for our members, greater value for our customers, and greater health for our communities. Join us and together we will drive the future of health care.

This is an exceptional opportunity to do innovative work that means more to you and those we serve at one of America's leading health care companies and a Fortune Top 50 Company.

Responsible for enrollment, billing activities and maintaining assigned accounts. Must be able to successfully perform all the duties of the Membership Rep II.

Location - Indianapolis, IN office - 220 Virginia Ave

Hours - Flexible schedule, must be logged on at 9:00am ET.

Primary duties may include, but are not limited to:

  • Verifies enrollment status, makes changes to records, researches and resolves enrollment system rejections; addresses a variety of enrollment questions or concerns received by phone or mail.

  • Responsible for all billing and delinquency processes for assigned groups.

  • Ensures accuracy and timeliness of the membership and billing function.

  • Responds to inquiries concerning enrollment processes.

  • Maintains enrollment database.

  • Orders Identification Cards.

  • Determines eligibility and applies contract language for each case assigned.

  • Performs error output resolution for electronic eligibility and processes error discrepancy list.

  • Bills, collects premiums and reconciles payments.

  • Maintains and reconciles premium bill, self-bill and individual billed accounts.

  • Notifies clients of premium discrepancies through payment adjustment notices and detailed audits.

  • Fully proficient in all key areas; performs most complex work.

Qualifications

Requires H. S. graduate or GED; 3-5 years relevant membership experience which includes at least 2 years of membership experience with the company; or any combination of education and experience, which would provide an equivalent background. Must have experience with Medicaid, Indiana Medicaid or Indiana HIP a plus. Experience with excel.

AnEqualOpportunityEmployer/Disability/Veteran

REQNUMBER: PS38634

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